X-ray, shoulder
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 73030 (CPT)
- CPT Billing Code: 73030
- Insurance Median: $182
- Cash Discount Price: $147
- vs. Medicare Baseline: 2.05x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 205% of the Medicare baseline (a markup of 105%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $31 - $100 | 35% |
| Hap | $39 | 44% |
| 1199 National Benefit Fund | $39 | 44% |
| Webtpa | $39 | 44% |
| Nippon Life Ins | $39 | 44% |
| Meritain | $39 | 44% |
| Gravie Admin Services | $39 | 44% |
| Allied Benefit Systems | $39 | 44% |
| Luminare Health | $39 | 44% |
| Connecticut Dept of Correction | $83 | 93% |
| Health Partners | $87 | 98% |
| Cigna | $87 - $103 | 98% |
| Allegiance | $87 | 98% |
| Magnacare | $87 | 98% |
| UnitedHealthcare | $100 - $128 | 112% |
| Medicare (plans) | $100 - $104 | 112% |
| Blue Cross Blue Shield | $100 - $267 | 112% |
| Cca Senior Care Options | $102 | 115% |
| Harvard Pilgrim Healthcare | $128 | 144% |
| Geha | $128 | 144% |
| Health New England | $142 | 160% |
| Allied National Global Care | $182 | 205% |
| Ghc Scw | $182 | 205% |
| Paramount HMO | $182 | 205% |
| Pai | $182 | 205% |
| Trinity Health Share | $182 | 205% |
| Mvp | $182 | 205% |
| Medi Share | $182 | 205% |
| International Benefit Administrators | $182 | 205% |
| Family Life Insurance Company | $182 | 205% |
| Manhattan Life | $182 | 205% |
| Lifetime Benefit Solutions | $182 | 205% |
| PHCS | $182 | 205% |
| Christian Care Ministry | $182 | 205% |
| Dean Health | $182 | 205% |
| Multiplan | $182 | 205% |
| Asrm - Reliance Standard Life Insurance | $182 | 205% |
| Pan-American Life | $182 | 205% |
| Claimdoc | $214 | 241% |
| Diversified Administrators | $214 | 241% |
| Prime Health Services | $214 | 241% |
| Innovative Health Plan II | $214 | 241% |
| Connecticare | $218 - $240 | 245% |
| Health Smart | $227 | 255% |
| Blue Care Network | $267 | 300% |
| Blue Shield - Ny Highmark Northeastern | $267 | 300% |
| Wc Domestic | $267 | 300% |
| Kaiser Domestic | $267 | 300% |
| Blue Benefit Administrators of Massachusetts | $267 | 300% |
| Health Choices | $267 | 300% |
| Blue Shield - PA (Highmark) | $267 | 300% |
| Blue Distinction Transplant | $267 | 300% |
| Blue Shield - Ca | $267 | 300% |
| Blue Shield - Ny Highmark Western | $267 | 300% |
| Bcn Domestic | $267 | 300% |
| Blue Shield - Id (Regence) | $267 | 300% |
| Unicare | $267 | 300% |
| Pre-Employment | $267 | 300% |
| Blue Shield - Wa (Regence) | $267 | 300% |